Active NPI
Jonathan Joseph Detrixhe, M.A.
- Student in an Organized Health Care Education/Training Program
- New York, NY
National Provider Identifier
1760612725
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- Practice address
- 635 W 165TH St
6TH FLR
New York, NY 10032-3724 - Phone
- (212) 305-4666
- NPI assigned
- Jul 23, 2009
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | Primary |
Addresses
Primary practice location
635 W 165TH St
6TH FLR
New York, NY 10032-3724
Mailing address
635 West 165TH Street,
6TH Floor New York Presbyterian Hospital
New York, NY 10032
Phone (212) 305-4666
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Arts
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1248307200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1286409600000",
"number": "1760612725",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "635 WEST 165TH STREET,",
"address_2": "6TH FLOOR NEW YORK PRESBYTERIAN HOSPITAL",
"city": "NEW YORK",
"state": "NY",
"postal_code": "10032",
"telephone_number": "212-305-4666"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "635 W 165TH ST",
"address_2": "6TH FLR",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100323724",
"telephone_number": "212-305-4666"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DETRIXHE",
"first_name": "JONATHAN",
"middle_name": "JOSEPH",
"name_prefix": "Mr.",
"credential": "M.A.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-07-23",
"last_updated": "2010-10-07",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.